Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Easily anxious? Hello, doctor. I often feel very anxious, sweat a lot, have a rapid heartbeat, experience diarrhea, and my neck feels a bit swollen. However, after seeing a doctor and having blood tests, everything came back normal, and there is no hyperthyroidism. Why do I still...
Dr. Lin Jianliang Reply:
The symptoms mentioned above are not exclusive to hyperthyroidism. Other diseases may also present similar symptoms. It is also possible that no abnormalities are detected upon examination.[Read More] Understanding Anxiety Symptoms: Why Do I Feel Nervous and Sweaty?
Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang Reply:
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Unexplained Heat on the Right Side of the Face: Causes and Solutions
Unexplained fever on the right side of the face? Hello Doctor: About a year ago, I had a blood test at the hospital, and the needle was inserted in the center of my right arm. It hurt for more than three months before it got better. During that time, the pain radiated from the mi...
Dr. Lin Wufu Reply:
Hello! The relationship between the pain in your right arm and the subsequent symptoms cannot be determined at this time. However, based on what you mentioned, you have: 1. Right ear pain 2. Swelling of the right lymph nodes 3. Nasal discharge running into the right ear 4. Hearin...[Read More] Unexplained Heat on the Right Side of the Face: Causes and Solutions
Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Syphilis treatment Last November, I was diagnosed with syphilis with a titer of 1:256. I received one injection and took tetracycline for 21 days. During this week's follow-up, the titer is still at 1:128, which seems to be decreasing slowly. Therefore, I received another in...
Dr. Liao Zhongxin Reply:
Dear readers: 1. <Is the decrease in index a bit slow?> A: If it is a first-time infection and treatment is received within a year, the index does indeed decrease somewhat slowly. If it is a reinfection (more than twice) with an increase of fourfold or more, it can be co...[Read More] Understanding Syphilis Treatment: Slow Progress and Lymph Node Concerns
Understanding Throat Discomfort: Causes and When to Seek Help
Consultation questions? Hello, doctor! I have a sensation in my throat that feels like there's a lump. I only notice it when I swallow; it feels strange and obstructive. This has been going on for several days without improvement. What could this be? How should I address it?...
Dr. Lin Jianliang Reply:
If you are experiencing discomfort in the oral cavity or near the throat, you can first consult an otolaryngologist (ENT specialist). For issues related to the thyroid, you can also start with an ENT specialist. If the discomfort is in areas such as the esophagus or near the stom...[Read More] Understanding Throat Discomfort: Causes and When to Seek Help
Understanding Oral Heat Issues: Causes and Solutions for Discomfort
Oral heat issues? I would like to ask the doctor about my situation. We replaced a broken air conditioner at home, and the new one initially made a buzzing sound. Additionally, I was unsure if the strange smell was from the new unit or from PVC, which caused me to have trouble sl...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that the symptoms are caused by acid reflux due to air conditioning. The most probable causes are neurological issues or stress. I recommend seeing a neurologist for further evaluation. If the neurological examination is normal, it...[Read More] Understanding Oral Heat Issues: Causes and Solutions for Discomfort
Could Your Symptoms Indicate Ankylosing Spondylitis?
What is the likelihood of ankylosing spondylitis? Hello, Doctor Gao. At the beginning of April this year, I woke up one day with pain and stiffness in my shoulders and neck, making it almost impossible to turn my head normally. This lasted for more than a week, but then it gradua...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Based on your symptoms, the likelihood of you having ankylosing spondylitis is very low, so there is no need to worry; I believe your travel plans should not be affected. However, the issue of night sweats and fever still needs to be addressed....[Read More] Could Your Symptoms Indicate Ankylosing Spondylitis?
Understanding Neck Lumps: When to Seek Further Medical Evaluation
Neck mass? Hello doctor, I have had a lump on the upper right side of my neck for about three months. It is slightly painful when I press on it. I initially thought it was caused by a previous adenovirus infection (in December), but after taking medication, my cold resolved, and ...
Dr. Xiao Yongxun Reply:
Dear Ms. Amy: There are many causes for neck masses; common ones include lymphadenitis, thyroid enlargement or nodules, hemangiomas, fibromas, lipomas, neurofibromas, lymphomas, and inflammation of subcutaneous glands, among others. Due to the variety of potential causes, it is a...[Read More] Understanding Neck Lumps: When to Seek Further Medical Evaluation
Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?
Swollen lymph nodes without cold symptoms? Hello Doctor, two weeks ago, I noticed swelling in the lymph nodes on the right side of my jaw, which is painful when pressed, but I do not have any cold symptoms (no cough, sore throat, nasal congestion, or runny nose). I took antibioti...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Painful swollen lymph nodes are usually associated with local infections, including bacterial and viral infections. Some infections may present with mild symptoms, primarily manifesting as lymphadenopathy. Therefore, if you have swollen and pai...[Read More] Swollen Lymph Nodes Without Cold Symptoms: What to Do Next?
Understanding Low Lymphocyte Count and High Neutrophil Levels
Lymphocytopenia and elevated neutrophil count? Hello, two weeks ago I had a self-paid health check-up, and there are two results that I am particularly concerned about. My lymphocyte count is low at 16% (normal range is 20-45%), and my neutrophil count is slightly elevated at 75%...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the V-shaped lymph nodes on both sides of the mandible, the response is as follows: A: 1. You may refer to a PDF document, attached. 2. If you still have questions, you can consult and seek treatment at a medical facility with an otolaryngology or family m...[Read More] Understanding Low Lymphocyte Count and High Neutrophil Levels
Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis
Can it be confirmed or not? Doctor, I am from Tainan. On October 7th, I was at high risk. On October 14th, I experienced abdominal pain and diarrhea. On October 18th, I went to a testing facility for an RTPCR test (negative), and the P24 test was also (negative). On November 2nd,...
Dr. Xiao Yongxun Reply:
Dear Mr. A-Kai: 1. HIV RT-PCR is primarily used in the early stages of HIV infection, approximately around 7 days post-exposure. If infection has occurred, the viral load is very low, so PCR is utilized in the laboratory to amplify the viral quantity, allowing for the detection ...[Read More] Can I Trust My Test Results? Understanding Persistent Symptoms and Diagnosis
Understanding Unexplained Body Sensations: Which Specialist to Consult?
Health issues. Which department should I consult? Hello Dr. Hong, I would like to consult about some unusual symptoms I'm experiencing and which specialty I should see to determine what illness I might have. My symptoms include experiencing internal pulsations after a night...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two possible causes for the palpitations. First, there may be a temporary episode of tachycardia. Since you mentioned that you have previously undergone an exercise electrocardiogram that showed tachycardia, I recommend a 24-hour Holter...[Read More] Understanding Unexplained Body Sensations: Which Specialist to Consult?
When to Stop Medication for Hyperthyroidism: A Patient's Concern
The issue of when to discontinue medication for hyperthyroidism? Hello, doctor. This April, I experienced a noticeable increase in heart rate along with other uncomfortable symptoms. At the beginning of May, I visited a family medicine clinic where blood tests diagnosed me with h...
Dr. Xie Rongyuan Reply:
Hello: It is recommended to visit the endocrinology department for further examination. If it is subacute thyroiditis, there will be no need for medication once recovery is achieved. Thank you for your message![Read More] When to Stop Medication for Hyperthyroidism: A Patient's Concern
Exercise Concerns for Patients with Hypothyroidism: What You Need to Know
Concerns about exercise in hypothyroidism? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. Last week, I discovered a lump in my neck, and after visiting the clinic yesterday, I was diagnosed with hypothyroidism. The physician mentioned that it is...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to avoid intense exercise in the initial stages to prevent overexertion. Once the medication stabilizes, you can gradually increase the intensity of your workouts. However, it is still advisable not to push yourself too hard. Thank you for your question.[Read More] Exercise Concerns for Patients with Hypothyroidism: What You Need to Know
Frequent Bacterial Infections: Is It a Sign of Immune System Issues?
Repeated bacterial infections – is it a problem with the immune system? Hello, doctor. In mid-May of this year, I had an acne wound infection that spread inflammation to half of my face within a week. After taking antibiotics for three weeks, I recovered. Shortly after, at the en...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The frequent infections during this period are indeed unusual. It is recommended to consult with an immunologist or a hematologist. The Changhua Hospital of the Ministry of Health and Welfare has an Allergy, Immunology, and Rheumatology Departme...[Read More] Frequent Bacterial Infections: Is It a Sign of Immune System Issues?
Understanding Thyroid Function Tests: Are Your Levels Normal?
Thyroid issues The thyroid function indices are as follows: T3 0.71, T4 5.60, and TSH 0.7579. Are these values considered normal? I have been advised by nurses and school health staff since childhood to get my thyroid function tested because my neck appears more swollen than aver...
Dr. Hong Yuanbin Reply:
Hello, each laboratory test reagent may produce slightly different values, so these values should be interpreted in conjunction with the normal reference range for that specific reagent. However, they should generally fall within the normal range. Visual inspection alone may not ...[Read More] Understanding Thyroid Function Tests: Are Your Levels Normal?
Understanding Blood-Streaked Nasal Discharge: Symptoms and Concerns
Blood-streaked nasal mucus issue? Hello, doctor. I was hospitalized recently due to a continuous fever for five days, with temperatures above 39 degrees Celsius. I was treated with antibiotics, which helped reduce the fever. The hospital could not determine the cause of the fever...
Dr. Hong Yuanbin Reply:
Hello, I can sense your concern about having cancer. Based on your age and symptoms, it is likely that you are experiencing a respiratory infection, and these symptoms are probably complications of that infection rather than indicative of nasopharyngeal cancer. However, if your s...[Read More] Understanding Blood-Streaked Nasal Discharge: Symptoms and Concerns
Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Fever every afternoon? Hello doctor, I have been experiencing a fever for over a month now, with temperatures gradually rising in the afternoon, ranging from 37.5 to 38.5 degrees Celsius. Two months ago, I had symptoms such as coughing and a runny nose, with occasional fevers aro...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the above issue, here is my response. Hello, doctor. I have been experiencing a fever for over a month, with temperatures gradually rising in the afternoon, ranging between 37.5°C and 38.5°C. Two months ago, I had symptoms of cough and runny nose, with o...[Read More] Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights
Blood sugar inquiry? Hello, Doctor: A few days ago, during lunch, I drank a soda and suddenly felt unwell, experiencing neck pain and fatigue. After about half an hour, I still felt uncomfortable, so I consumed an oral rehydration solution (8.44 grams of sucrose and 2.8 grams of ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ming: 1. According to your information, I agree with your attending physician; in other words, there is no evidence indicating the presence of diabetes. 2. Any blood glucose meter can produce inaccuracies; therefore, it is necessary to have the manufacturer perform cali...[Read More] Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights